KANSAS CITY GEORGETOWN APARTMENTS
APPLICATION FOR RESIDENCY
Notice: Co-Applicant must complete a separate Rental Application Form.
The undersigned hereby makes an application to rent apartment number
located at
beginning on at a monthly rental of
Full legal name:
Email address:
Date of birth:
Social security #:
Names of other adult occupants:
Date of Birth: (adults)
Names of other minor occupants:
Date of Birth: (minors)
(All occupants of the apartment must be disclosed)
Pets (number):
Pets (breed):
Pets (weight):
Current address:
City:  
State:   Zip:  		 Phone #:
Rent or own: Month & year moved in:
Landlord: Phone #:
 
Previous address:
City:  
State:   Zip:  		 Rent or own:
Month & year moved in: Month & year moved out:
Landlord: Phone #:
Applicants Employment
Present employer:
Address:
Phone #:
Dates of employment:
Position:
Gross monthly income:
Supervisor:
Previous employer:
Phone #:
Gross monthly income:
List other sources & amounts of income:
Driver 's License # / State:
Auto (1) Auto (2)
Make: Make:
Model: Model:
Year: Year:
State: State:
Plate #: Plate #:
Bank and Personal References
Bank: Bank:
City / state: City/ state:
Checking account #: Savings account #:
 
Emergency contact name: Phone #:
Address: Relationship:
Personal reference (different than above): Phone #:
Address: Relationship:
Have you ever Filed for bankruptcy? Yes No       If yes, when? - -
Been convicted of a felony? Yes No       If yes, when? - -
  Been evicted from tenancy? Yes No       If yes, when? - -
 
How were you referred to us?
 
Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of above information. I authorize an investigative consumer report to be completed as part of the procedure for processing the above information. I understand that there is a $35 non-refundable fee per person for the processing of this report

I hereby deposit as earnest money to hold the apartment off the market Upon acceptance of this application this deposit shall be retained as part of the security deposit The deposit is non-refundable after 72 hours from submittal of application, unless your application is rejected. When so approved and accepted I agree to execute a lease for months before possession is given and to pay the balance of the security deposit (if required) within 72 hours of being notified of acceptance or the deposit will be forfeited as liquidated damages.

By checking this box, I certify that I am the person filling out and submitting this form to W&M Properties.
Kansas City Georgetown Apartments
7200 Eby Drive • Merriam, KS 66204 • (913) 262-2666

Equal Housing Oppotunity